Organization
PERFORMANCE SPORTS CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA WARK DC (OWNER/CHIROPRACTOR)
(612) 367-6110
Entity
Organization
Contact information
Practice address
7876 SUNWOOD DR NW STE 200, RAMSEY, MN 55303-5178
(612) 367-6110
Mailing address
9471 STONERIDGE CT, MONTICELLO, MN 55362-8475
(218) 277-8301
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/10/2018
Last updated
05/23/2019
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